Individual provider Active NPI

Charles Lomago Jr., DMD

  • Family Medicine Physician
  • Monongahela, PA
National Provider Identifier
1407952856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DS020675L Issued in PA
Practice address
447 West Main Street
Monongahela, PA 15063
Phone
(724) 258-2220
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DS020675L PA Primary

Addresses

Primary practice location

447 West Main Street
Monongahela, PA 15063

Mailing address

447 West Main Street
Monongahela, PA 15063
Phone (724) 258-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160219000550 PA Order and Referring Only - DentistPractitioner - Dentist 8628373248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407952856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 WEST MAIN STREET",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "15063",
            "telephone_number": "724-258-2220",
            "fax_number": "724-258-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 WEST MAIN STREET",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "15063",
            "telephone_number": "724-258-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAGO",
        "first_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "DS020675L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.